Gary Degrandchamp, MS

NPI #1972840106 in Wabash, Indiana

Provider Information

NPI Number: 1972840106
Entity Type: Individual
Name: Gary Degrandchamp, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MS
Enumeration Date: Jan 8, 2013
Last Updated: Jan 8, 2013

Practice Location

Address: 255 N MIAMI ST
City: Wabash
State: Indiana
ZIP Code: 46992-2705
Phone: (260) 563-8446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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